首页> 外文期刊>Journal of Sports Medicine >Functional Popliteal Artery Entrapment Syndrome: Poorly Understood and Frequently Missed? A Review of Clinical Features, Appropriate Investigations, and Treatment Options
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Functional Popliteal Artery Entrapment Syndrome: Poorly Understood and Frequently Missed? A Review of Clinical Features, Appropriate Investigations, and Treatment Options

机译:功能性lite动脉压迫综合征:理解不清,经常错过吗?临床特征,适当的检查和治疗选择的综述

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Functional popliteal artery entrapment syndrome (PAES) is an important and possibly underrecognized cause of exertional leg pain (ELP). As it is poorly understood, it is at risk of misdiagnosis and mismanagement. The features indicative of PAES are outlined, as it can share features with other causes of ELP. Investigating functional PAES is also fraught with potential problems and if it is performed incorrectly, it can result in false negative and false positive findings. A review of the current vascular investigations is provided, highlighting some of the limitations standard tests have in determining functional PAES. Once a clinical suspicion for PAES is satisfied, it is necessary to further distinguish the subcategories of anatomical and functional entrapment and the group of asymptomatic occluders. When definitive entrapment is confirmed, it is important to identify the level of entrapment so that precise intervention can be performed. Treatment strategies for functional PAES are discussed, including the possibility of a new, less invasive intervention of guided Botulinum toxin injection at the level of entrapment as an alternative to vascular surgery.
机译:功能性pop动脉压迫综合征(PAES)是劳累性腿痛(ELP)的重要且可能未被广泛认识的原因。众所周知,它存在误诊和管理不善的风险。概述了指示PAES的功能,因为它可以与ELP的其他原因共享功能。研究功能性PAES还会充满潜在的问题,如果执行不正确,则会导致假阴性和假阳性结果。提供了对当前血管研究的回顾,强调了标准测试在确定功能性PAES方面的一些局限性。一旦满足对PAES的临床怀疑,就必须进一步区分解剖和功能性压迫的亚类以及无症状封堵器的类别。确认明确的夹带后,确定夹带的水平很重要,以便可以进行精确的干预。讨论了功能性PAES的治疗策略,包括采用新的,侵入性较小的介入肉毒杆菌毒素注射的方法,作为血管外科手术的替代方法,可在压迫水平上进行。

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